Individual provider Active NPI

Kaitlyn Milligan, RDN. LDN, CLS

  • Registered Dietitian
  • Moline, IL
National Provider Identifier
1831939586
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86066407 Issued in IA
Practice address
4218 Avenue of the Cities
Moline, IL 61265-4544
Phone
(515) 695-3291
NPI assigned
May 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86066407 IA Primary

Addresses

Primary practice location

4218 Avenue of the Cities
Moline, IL 61265-4544

Mailing address

4218 Avenue of the Cities
Moline, IL 61265-4544
Phone (515) 695-3291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240829002331 IL Practitioner - Registered Dietitian Or Nutrition Professional 6204375611 Reassigns benefits to 1 organization
I20240830000143 IA Practitioner - Registered Dietitian Or Nutrition Professional 6204375611 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86066407IAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Hy-Vee Health PC Dietitian, Registered CurrentSince Jul 16, 2024 Accepting new patients
Hy-Vee Health PC CurrentSince Jun 9, 2024 Accepting new patients
Hy-Vee Health PC Dietitian, Registered CurrentSince Jun 9, 2024 Accepting new patients
Hy-Vee Health PC Current Accepting new patients

Locations

4605 Fleur Dr
Des Moines, IA 50321
Phone (515) 285-7133

7300 Westown Pkwy
Ste 320
West Des Moines, IA 50266
Phone (402) 896-5000

5820 Westown Pkwy
West Des Moines, IA 50266
Phone (515) 453-2784

1 E Erie St
Ste 640
Chicago, IL 60611
Phone (312) 988-9300

1600 E Jackson St
Macomb, IL 61455
Phone (309) 833-3750

4218 Avenue of the Cities
Moline, IL 61265
Phone (309) 762-0200

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1831939586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4218 AVENUE OF THE CITIES",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612654544",
            "telephone_number": "515-695-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4218 AVENUE OF THE CITIES",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612654544",
            "telephone_number": "515-695-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLIGAN",
        "first_name": "KAITLYN",
        "credential": "RDN. LDN, CLS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IA",
            "license": "86066407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.